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General NPI Number Information
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NPI Number | 1639644818
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Entity Type | Organization
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Legal Business Name | DENISE KRUSZEWSKI PHD PSYCHOLOGY, INC.
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 2111 S EL CAMINO REAL STE 302
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City | OCEANSIDE
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State | CA
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Zip | 92054-9000
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Country | US
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Telephone | 619-836-0046
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Fax |
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Provider Business Mailing Address
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Address Line | 4225H OCEANSIDE BLVD # 509
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City | OCEANSIDE
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State | CA
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Zip | 92056-3471
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Country | US
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Telephone | 619-836-0046
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DENISE KRUSZEWSKI
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Credential | PHD
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Telephone | 619-836-0046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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